Provider Demographics
NPI:1629281910
Name:J&K STAFFING LTD.
Entity Type:Organization
Organization Name:J&K STAFFING LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:RUDOLPH-PETRINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-633-7810
Mailing Address - Street 1:140 HUGUENOT ST
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-5215
Mailing Address - Country:US
Mailing Address - Phone:914-633-7810
Mailing Address - Fax:914-633-7864
Practice Address - Street 1:140 HUGUENOT ST
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5215
Practice Address - Country:US
Practice Address - Phone:914-633-7810
Practice Address - Fax:914-633-7864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY9581L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01679285Medicaid